Usefulness of BUN/Albumin Ratio in Prediction of 28-day Mortality in Patients with Acute Cholangitis
Journal of the Korean Society of Emergency Medicine
;
: 491-499, 2015.
Article
in Korean
| WPRIM
| ID: wpr-96952
ABSTRACT
PURPOSE:
We evaluated the blood urea nitrogen (BUN)/albumin (B/A) ratio in patients with acute cholangitis to determine the prognostic significance of the B/A ratio as a marker of early mortality in critically ill patients with acute cholangitis.METHODS:
We retrospectively analyzed medical records in two emergency departments (ED) and screened eligible adult patients who were admitted to the ED with acute cholangitis. The B/A ratio was evaluated as the BUN value divided by albumin level on each hospital day. The clinical outcome was mortality after 28 days.RESULTS:
A total of 461 patients with acute cholangitis were included in this study. Multivariate Cox proportional hazard models showed that higher B/A ratio on ED admission (day 1) (Hazard Ratio (HR) 1.182; 95% Confidence Interval (CI) 1.076-1.298, p6.83 on day 1 (HR 4.065; 95% CI 4.123-43.737, p6.26) on day 4 (HR 7.16; 95% CI 1.412-36.333, p=0.018) in patients with acute cholangitis.Conclusion:
The ratio of BUN to albumin on ED admission is a promising prognostic marker of 28-day mortality in patients with acute cholangitis.CONCLUSION:
The ratio of BUN to albumin on ED admission is a promising prognostic marker of 28-day mortality in patients with acute cholangitis.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Prognosis
/
Blood Urea Nitrogen
/
Proportional Hazards Models
/
Cholangitis
/
Medical Records
/
Retrospective Studies
/
Risk Factors
/
Mortality
/
Critical Illness
/
Albumins
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Adult
/
Humans
Language:
Korean
Journal:
Journal of the Korean Society of Emergency Medicine
Year:
2015
Type:
Article
Similar
MEDLINE
...
LILACS
LIS